关键词: Aftercare Drug use Mental health Philippines Reintegration Women

Mesh : Humans Female Philippines Adult Aftercare / methods Substance-Related Disorders / psychology epidemiology Middle Aged Focus Groups Social Stigma

来  源:   DOI:10.1108/IJOPH-08-2023-0047

Abstract:
OBJECTIVE: Women are exposed to vulnerabilities that can lead to drug use or hinder recovery. However, there is a dearth of studies on recovery programs for women. This study aims to add to the literature by examining the feasibility of a women-only aftercare program for recovering users in the Philippines.
METHODS: The study used a mixed-method design with pre and post-program surveys used to measure changes in participants\' recovery capital. Focused group discussions elicited participants\' context, their reactions, perceived outcomes and suggestions on the program.
RESULTS: Women in the program shared narratives of pain, trauma and abuse before treatment. Participants reported significant improvements in personal, community and family recovery capital dimensions. The program enabled personal growth in the form of new knowledge, skills and self-confidence. The women-only program also provided a safe space for women, to receive support from other women, community members and family. However, the women continue to face continuing challenges related to stigma and discrimination and a lack of livelihood opportunities.
CONCLUSIONS: A limitation of the study was its small sample size and the lack of a control group. Another limitation was the variability in treatment received by the women, which could have affected overall outcomes. Future studies using a randomized control trial and longitudinal designs may provide more robust conclusions on the effectiveness of the program.
CONCLUSIONS: Given punitive contexts, gender-sensitive and trauma-informed programs and services for women involved in drug use could potentially mitigate the abuse, stigma and vulnerabilities they experience.
CONCLUSIONS: This study contributes to the sparse literature on women-only aftercare, particularly in countries that criminalize drug use.
摘要:
目的:女性暴露于可能导致吸毒或阻碍康复的脆弱性。然而,缺乏对女性康复计划的研究。这项研究旨在通过研究菲律宾仅女性康复计划的可行性来增加文献。
方法:该研究使用了混合方法设计,并进行了计划前和计划后调查,以衡量参与者的恢复资本变化。集中的小组讨论引发了参与者的背景,他们的反应,对项目的感知结果和建议。
结果:该计划中的女性分享了痛苦的叙述,治疗前的创伤和虐待。参与者报告说,在个人方面,社区和家庭恢复资本维度。该计划以新知识的形式实现了个人成长,技能和自信。女性专用项目也为女性提供了安全的空间,得到其他女性的支持,社区成员和家庭。然而,妇女继续面临与污名和歧视以及缺乏谋生机会有关的持续挑战。
结论:该研究的局限性在于其样本量小和缺乏对照组。另一个限制是妇女接受治疗的可变性,这可能会影响整体结果。使用随机对照试验和纵向设计的未来研究可能会对该计划的有效性提供更可靠的结论。
结论:在惩罚性背景下,为参与吸毒的妇女提供对性别问题敏感和创伤知情的计划和服务可能会减轻滥用,他们经历的耻辱和脆弱性。
结论:这项研究有助于有关仅女性护理的稀疏文献,特别是在将吸毒定为犯罪的国家。
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